Organization Active NPI

Smiles on the Hudson PC

  • Dentist
  • Edgewater, NJ
National Provider Identifier
1548815657
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SMILES ON THE HUDSON PC
Practice address
125 River Rd Ste 104
Edgewater, NJ 07020-1002
Phone
(201) 941-0088
NPI assigned
Aug 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anna Rozenblat
Title
Secretary
Phone
(201) 328-7059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

125 River Rd Ste 104
Edgewater, NJ 07020-1002

Mailing address

1115 Briar Way
Fort Lee, NJ 07024-6311
Phone (201) 328-7059

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL EDGEWATER
Other URL EDGEWATER
Other URL EDGEWATER

National Provider Directory

National Provider Directory

Locations

125 River Rd
Ste 104
Edgewater, NJ 07020
Phone (201) 941-0088

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1548815657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 BRIAR WAY",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246311",
            "telephone_number": "201-328-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 RIVER RD STE 104",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201002",
            "telephone_number": "201-941-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES ON THE HUDSON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "ROZENBLAT",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "201-328-7059"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EDGEWATER",
            "affiliation": "N",
            "address_1": "125 River Rd Ste 104",
            "city": "Edgewater",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070201002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EDGEWATER",
            "affiliation": "N",
            "address_1": "125 River Rd Ste 104",
            "city": "Edgewater",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070201002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EDGEWATER",
            "affiliation": "N",
            "address_1": "125 River Rd Ste 104",
            "city": "Edgewater",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070201002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.